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Updated: June 11, 2025


In such cases there occurs a hyperplasia of the skin and subcutaneous tissues, resulting in some instances, in the affected member attaining an enormous size. Sporadic cases of this kind are to be seen occasionally, and are apparently caused by repeated attacks of lymphangitis.

If fluid collects in sufficient quantity to seriously interfere with the heart action, the sack may be punctured with the trocar and cannula and the fluid withdrawn. Great care must be used to avoid injury to the heart and infection of the part. ACUTE LYMPHANGITIS. This is an inflammation of the lymphatic vessels of one or both hind limbs.

A non-infectious type of lymphangitis is frequently seen in the heavy draft breeds of horses and in such cases one or both hind legs are involved it is very seldom that the thoracic limbs become so affected. Law refers to this ailment as "Acute Lymphangitis of Plethora in Horse."

When the condition has subsided, the limb is massaged and evenly bandaged to promote the disappearance of œdema. Tuberculous Lymphangitis. Although lymph vessels play an important rôle in the spread of tuberculosis, the clinical recognition of the disease in them is exceptional.

As the affection progresses the pulse becomes rather weak and irregular. The character of the pulse in the region of the extremity is a reliable indicator; but one has to learn to make necessary discrimination because of the condition of the parts, as in some cases of lymphangitis or where the skin is abnormally thick.

The accompanying illustration shows the condition of the limb of a girl of twenty-one, the subject of lymphedema, five years after the inception of the disease. The changes in the limb were as yet moderate. Repeated attacks of lymphangitis have occurred during this period, each producing an aggravation of the previous condition.

In man also the clinical features of the chronic variety of the disease are somewhat different from those of the acute form. Here, too, infection takes place through a broken cutaneous surface, and leads to a superficial lymphangitis with nodular thickening of the lymphatics (farcy buds). The neighbouring glands soon become swollen and indurated. The primary lesion meanwhile inflames, suppurates, and, after breaking down, leaves a large, irregular ulcer with thickened edges and a foul, purulent or bloody discharge. The glands break down in the same way, and lead to wide destruction of skin, and the resulting sinuses and ulcers are exceedingly intractable. Secondary deposits in the subcutaneous tissue, the muscles, and other parts, are not uncommon, and the nasal mucous membrane may become involved. The disease often runs a chronic course, extending to four or five months, or even longer. Recovery takes place in about 50

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